Inspection on 02/05/07 for 2 Upland Road

This inspection was carried out on 2nd May 2007.

CSCI has not published a star rating for this report, though using similar criteria we estimate that the report is Good. The way we rate inspection reports is consistent for all houses, though please be aware that this may be different from an official CSCI judgement.

The inspector made no statutory requirements on the home as a result of this inspection and there were no outstanding actions from the previous inspection report.

Other inspections for this house

2 Upland Road 28/09/09

Similar services:

Polesworth Group Friary Road

Polesworth Group Pooley Heights

Polesworth Group 32 Station Road

Polesworth Group 70 Long Street

Breme

Polesworth Group 64 Long Street

Polesworth Group 68 Long Street

10 Whitfield Avenue

Extracts from inspection reports are licensed from CQC, this page was updated on 09/07/2008.

CARE HOME ADULTS 18-65 Upland Road, 2 2 Upland Road Bromsgrove Worcestershire B61 0EQ Lead Inspector Dianne Thompson Key Unannounced Inspection 2nd May 2007 10:00 Upland Road, 2 DS0000066842.V329562.R01.S.doc Version 5.2 Page 1 The Commission for Social Care Inspection aims to: • • • • Put the people who use social care first Improve services and stamp out bad practice Be an expert voice on social care Practise what we preach in our own organisation Reader Information Document Purpose Author Audience Further copies from Copyright Inspection Report CSCI General Public 0870 240 7535 (telephone order line) This report is copyright Commission for Social Care Inspection (CSCI) and may only be used in its entirety. Extracts may not be used or reproduced without the express permission of CSCI www.csci.org.uk Internet address Upland Road, 2 DS0000066842.V329562.R01.S.doc Version 5.2 Page 2 This is a report of an inspection to assess whether services are meeting the needs of people who use them. The legal basis for conducting inspections is the Care Standards Act 2000 and the relevant National Minimum Standards for this establishment are those for Care Homes for Adults 18-65. They can be found at www.dh.gov.uk or obtained from The Stationery Office (TSO) PO Box 29, St Crispins, Duke Street, Norwich, NR3 1GN. Tel: 0870 600 5522. Online ordering: www.tso.co.uk/bookshop This report is a public document. Extracts may not be used or reproduced without the prior permission of the Commission for Social Care Inspection. Upland Road, 2 DS0000066842.V329562.R01.S.doc Version 5.2 Page 3 SERVICE INFORMATION Name of service Upland Road, 2 Address 2 Upland Road Bromsgrove Worcestershire B61 0EQ 01527 874012 Telephone number Fax number Email address Provider Web address Name of registered provider(s)/company (if applicable) Name of registered manager (if applicable) Type of registration No. of places registered (if applicable) www.dimensions-uk.org Dimensions (UK) Ltd Mrs Margaret Mole Care Home 4 Category(ies) of Learning disability (4), Physical disability (1), registration, with number Sensory impairment (2) of places Upland Road, 2 DS0000066842.V329562.R01.S.doc Version 5.2 Page 4 SERVICE INFORMATION Conditions of registration: Date of last inspection 27/09/05 Brief Description of the Service: Upland Road is a traditional detached bungalow approximately one mile from Bromsgrove town centre, providing a home for four people. There is easy access to public transport and the town centre, and the home has its own vehicle for people to use. Upland Road aims to promote independence and dignity for people who have a learning disability, in a homely environment. One person has a significant physical disability. People who use the service are encouraged to participate in the running of the home and share in the general household activities within their capabilities. Dimensions (UK) Ltd is now the care provider for the service, having registered with the Commission for Social Care Inspection on 1st April 2006. The current fee for the service range from £62.35 per week. Charges which are additional to the fee include: • • • • • • Personal toiletries, clothing and electrical items (TV and music centre). Activities not covered by the allowance made by the provider or in the funding authority contract Holidays Major extra outings Hairdressing Car leasing Upland Road, 2 DS0000066842.V329562.R01.S.doc Version 5.2 Page 5 SUMMARY This is an overview of what the inspector found during the inspection. This was the home’s first inspection since Dimensions (UK) Ltd registered as the care provider. The main purpose of this inspection was to see what the service at Upland Road was like for the people who live there. Records for people who use the service were checked, and a tour of the building was also carried out. Other information gathered by the Commission for Social Care Inspection (CSCI) since the previous inspection is included in this report. Surveys and Relatives comment cards were sent out. Time was spent with people who use the service, the registered manager, the deputy manager and staff on duty. What the service does well: The home gives clear information to people who use the service about the home. Before someone new moves into the home staff check that they will be able to give them the care they need. The home looks after people well and writes down what help everyone needs. People who use the service are given help and support to do the activities they choose. Families and friends are welcome to visit the home. People who use the service can choose what they like to eat from the healthy menu at the home. People are supported with their medical appointments and their health care. All staff are trained to give medication safely. People who use the service can talk to staff about any problems they may have. Staff are trained and know what to do if there are any problems. Upland Road is homely, clean and tidy. People who use the service can decorate their rooms in the way they like. Staff are well trained. The home checks staff before they start working in the home. Dimensions checks the home to make sure that everything is being done properly. They check to make sure the home is a safe place to live and work in. Upland Road, 2 DS0000066842.V329562.R01.S.doc Version 5.2 Page 6 What has improved since the last inspection? What they could do better: Please contact the provider for advice of actions taken in response to this inspection. The report of this inspection is available from enquiries@csci.gsi.gov.uk or by contacting your local CSCI office. The summary of this inspection report can be made available in other formats on request. Upland Road, 2 DS0000066842.V329562.R01.S.doc Version 5.2 Page 7 DETAILS OF INSPECTOR FINDINGS CONTENTS Choice of Home (Standards 1–5) Individual Needs and Choices (Standards 6-10) Lifestyle (Standards 11-17) Personal and Healthcare Support (Standards 18-21) Concerns, Complaints and Protection (Standards 22-23) Environment (Standards 24-30) Staffing (Standards 31-36) Conduct and Management of the Home (Standards 37 – 43) Scoring of Outcomes Statutory Requirements Identified During the Inspection Upland Road, 2 DS0000066842.V329562.R01.S.doc Version 5.2 Page 8 Choice of Home The intended outcomes for Standards 1 – 5 are: 1. 2. 3. 4. 5. Prospective service users have the information they need to make an informed choice about where to live. Prospective users’ individual aspirations and needs are assessed. Prospective service users know that the home that they will choose will meet their needs and aspirations. Prospective service users have an opportunity to visit and to “test drive” the home. Each service user has an individual written contract or statement of terms and conditions with the home. The Commission consider Standard 2 the key standard to be inspected. JUDGEMENT – we looked at outcomes for the following standard(s): 2 Quality in this outcome area is good This judgement has been made using available evidence including a visit to this service. People are given information about the services offered at the home to help them make an informed choice about whether they would like to live at Upland Road and whether the home will meet their needs. EVIDENCE: The Statement of Purpose and Service User Guide provides information about the home to help people decide if they wish to live at Upland Road. The Statement of Purpose has recently been updated to reflect the change of provider to Dimensions, manager and changes within the staff team. Copies of the information are available to all, including visitors to the home. Surveys from families confirmed that information about the home is shared, and that they are kept up to date with important issues. There is evidence that full assessments were completed for everyone who uses the service prior to their moving into Upland Road. The home has an admissions policy and procedure in place and the home will make sure they are followed for future admissions to the home. The assessment process is very detailed and care records show that the home Upland Road, 2 DS0000066842.V329562.R01.S.doc Version 5.2 Page 9 receives full information about people, their background, their needs, their likes and dislikes when they are referred for a placement. Information is gathered from a range of sources such as other relevant professionals, visits to previous homes or schools, and discussions with family members. Introductory visits and stays are arranged at the home prior to admission. Everyone is given a copy of relevant information prior to moving into the home, and information is offered in preferred formats, such as symbols, pictures, audio and large print. The home has one vacancy at present. Surveys confirm that people visited the home and were given support to move to Upland Road. Upland Road, 2 DS0000066842.V329562.R01.S.doc Version 5.2 Page 10 Individual Needs and Choices The intended outcomes for Standards 6 – 10 are: 6. 7. 8. 9. 10. Service users know their assessed and changing needs and personal goals are reflected in their individual Plan. Service users make decisions about their lives with assistance as needed. Service users are consulted on, and participate in, all aspects of life in the home. Service users are supported to take risks as part of an independent lifestyle. Service users know that information about them is handled appropriately, and that their confidences are kept. The Commission considers Standards 6, 7 and 9 the key standards to be inspected. JUDGEMENT – we looked at outcomes for the following standard(s): 6, 7, 9 Quality in this outcome area is excellent This judgement has been made using available evidence including a visit to this service. Care plans provide staff with detailed information about individual’s assessed needs. They include risk assessments to show how risks are to be reduced and how to promote independence. People who use the service are supported to make choices and decisions in their daily lives and routines. EVIDENCE: Individual care plans are detailed and informative. The plans show how goals are monitored, how they are arranged and how they can be achieved. Staff have information to make sure that all care is provided in a preferred and consistent way that encourages independence. Pictures and photographs are used to assist with understanding and communication in care plans. People’s likes and dislikes are included. One person for example, dislikes not knowing what people are writing about them and this is clearly recorded in the care plan. Upland Road, 2 DS0000066842.V329562.R01.S.doc Version 5.2 Page 11 A person centred care plan (PCP) approach is being developed and this format shows how people who use the service will be appropriately involved in planning and reviewing their own care. People will be supported to express their wishes and goals. A Path map has been completed for the home and the service that is being provided. The Path map process has given staff knowledge and experience to support people who use the service in completing their PCP’s. Staff said they found this experience very beneficial. The training and completion of the home Path has given them an opportunity to explore, share ideas and take responsibility for specific areas of work. Files for three people who use the service were examined. Case tracking provides a view of how the home responds to the diversity of needs and how this is being managed and supported. This is particularly evident where health needs and disability requires greater input and support from all staff within the home. Relevant information and monitoring is provided in individual files to make sure all staff have the necessary information to provide quality care. Each person is allocated a key worker to oversee his or her care. Each key worker builds a closer relationship so they gain more understanding and knowledge of individual needs, goals and wishes. Plans are reviewed regularly or as any changes in need occur. There is evidence of the key worker support and encouragement to make sure that people who use the service are fully involved in the reviews of their care plans. Staff said they are fully aware of the plans and use them to guide their practice. A completed PCP for one person was seen. This has been completed using the Dimensions format and is informative, accessible and easy to understand. Work to complete other PCP’s is ongoing. The home completes risk assessments to promote safety and independence for people who use the service. Two people who use the service are registered blind, and risk assessments are completed to make sure their mobility is maintained and that they have access to facilities. Individual risk assessments include mobility and handling, bathing, and storage of toiletries. Plans provide information about the methods of communication that people who use the service understand. These plans make sure all staff are aware to promote consistency. Examples of the different methods used include Braille, audiotapes, and objects of reference. Staff were observed supporting people in household tasks. Family surveys confirmed that care given is what they expected or agreed with the home. Upland Road, 2 DS0000066842.V329562.R01.S.doc Version 5.2 Page 12 Lifestyle The intended outcomes for Standards 11 - 17 are: 11. 12. 13. 14. 15. 16. 17. Service users have opportunities for personal development. Service users are able to take part in age, peer and culturally appropriate activities. Service users are part of the local community. Service users engage in appropriate leisure activities. Service users have appropriate personal, family and sexual relationships. Service users’ rights are respected and responsibilities recognised in their daily lives. Service users are offered a healthy diet and enjoy their meals and mealtimes. The Commission considers Standards 12, 13, 15, 16 and 17 the key standards to be inspected. JUDGEMENT – we looked at outcomes for the following standard(s): 12, 13, 15, 16, 17 Quality in this outcome area is good This judgement has been made using available evidence including a visit to this service. People receive help and encouragement to lead active and interesting lives and are supported to access facilities within the community. People are also supported to maintain links with their families and to develop friendships. The home offers a well-balanced menu and promotes healthy eating for the welfare of people who use the service. EVIDENCE: At the time of the inspection visit a very busy morning routine was evident. Everyone was enjoying his or her breakfast. Time was spent with three people who were at home at the time of the inspection visit. The home provides a range of activities for people who use the service, both in-house and within the local community. All activities are organised to take Upland Road, 2 DS0000066842.V329562.R01.S.doc Version 5.2 Page 13 into account individual needs and preferences, making sure that everyone has the opportunity to take part. The manager and staff said that opportunities are discussed regularly with people who use the service through their weekly meetings. Planning activities, menus, and any other issues within the home are discussed. Current external activities include shopping, cinema, pub, going to Webb’s Garden Centre, holidays, bowling, disco, coach trips, yoga sessions at the local college, and train rides. One person who uses the service works at the Wendron centre for two days per week. They make their own arrangements to travel there and back by taxi. Another person works at Wellesbourne Industries three days per week. Holidays are regularly planned. One person’s goal is to go to Lapland, and arrangements are being made to help this person reach their goal, hopefully later this year. Activities within the home include reading magazines, gardening, Chinese takeaways, hand and foot massage, art and craft. Two people who use the service were doing some gardening during the inspection visit. They planted and watered tubs of sweet peas, and containers with tomato plants. People who use the service talked of the new car for the home. It is evident from the discussion that took place that people are involved in the decision, although not fully agreed on what colour the car should be. Evidence is available to show that regular contact with friends and family is supported. One person said they see their relative each week. Evidence that circles of support for people who use the service was seen. The home provides well-balanced, varied meals for people who use the service. Menus are planned during weekly meetings when people who use the service make their choices for the coming week. Alternative options are available to those chosen. Upland Road, 2 DS0000066842.V329562.R01.S.doc Version 5.2 Page 14 Personal and Healthcare Support The intended outcomes for Standards 18 - 21 are: 18. 19. 20. 21. Service users receive personal support in the way they prefer and require. Service users’ physical and emotional health needs are met. Service users retain, administer and control their own medication where appropriate, and are protected by the home’s policies and procedures for dealing with medicines. The ageing, illness and death of a service user are handled with respect and as the individual would wish. The Commission considers Standards 18, 19, and 20 the key standards to be inspected. JUDGEMENT – we looked at outcomes for the following standard(s): 18, 19, 20 Quality in this outcome area is excellent This judgement has been made using available evidence including a visit to this service. Personal and healthcare needs are clearly identified in care plans. The plans provide information and promote consistency of care and support for people who use the service in a way that takes into account their preferences. The home has a medication policy and procedure, which is followed to make sure that all medication is administered and stored safely for the protection of everyone who uses the service and staff. EVIDENCE: Individual care records and plans provide detailed information about physical and mental health and the support needed from staff to maintain good hygiene and health. The care plans sampled contain information about preferred personal care routines. People who use the service keep their care plans in their bedrooms. Staff said they are able to communicate with people who use the service verbally and, in certain cases, with the additional use of objects of reference. Upland Road, 2 DS0000066842.V329562.R01.S.doc Version 5.2 Page 15 Some people who were at home at the time of the visit were unable to communicate, but they appeared to be comfortable, fully involved and at home in their environment. One person talked about living at Upland Road saying they liked living in the home and that staff look after them. Records of all physical checks are completed where people have particular health related issues such as weight and fluid intake. In this way the home is able to closely monitor and respond to changes or obtain appropriate medical input whenever necessary. For one person who uses the service there are gaps in the recording on the physical functions chart, but there is no information available to guide staff on what action is to be taken. People who use the service and the home are well supported by medical services, which include GP’s, speech and language therapists, dentist, chiropodist, and community learning disability team. The home has a medication policy and procedure in place. The registered manager confirmed that the organisations policies and procedures would be followed should any medication error occur. Additionally these would be reported to the CSCI. Medication administration records were seen and appropriate recording is evident. A medication audit by the supplying pharmacist has been scheduled for next week. Medicines are suitably and safely stored. Upland Road, 2 DS0000066842.V329562.R01.S.doc Version 5.2 Page 16 Concerns, Complaints and Protection The intended outcomes for Standards 22 – 23 are: 22. 23. Service users feel their views are listened to and acted on. Service users are protected from abuse, neglect and self-harm. The Commission considers Standards 22, and 23 the key standards to be inspected. JUDGEMENT – we looked at outcomes for the following standard(s): 22, 23 Quality in this outcome area is good This judgement has been made using available evidence including a visit to this service. People who use the service are protected by easy to understand information about how to complain, with appropriate information for staff provided. Staff support people to express their views and any concerns they may have. EVIDENCE: Upland Road has a suitable complaints policy and procedure in place. The complaints procedure is available in alternative formats where appropriate. There have been no complaints to the home and no complaints have been made to the CSCI since the previous inspection. There are suitable policies and procedures in place to support staff in keeping people who use the service safe. Staff complete training in relation to abuse and protection during their induction and through specific training courses. The home has relevant financial policies and procedures in place to make sure that money is kept safe for each person. People who use the service are supported to keep their money in a safe place in their bedrooms. Risk assessments have been completed to support people in managing their own money. The provider conducts both in house and regular financial audits. During the inspection visit staff were observed engaging with people who use the service in a supportive and respectful way. A discussion took place with a person who was planning to go out about having sufficient money. The Upland Road, 2 DS0000066842.V329562.R01.S.doc Version 5.2 Page 17 individual was supported and enabled to make their own decision about the amount of money they took with them. Upland Road, 2 DS0000066842.V329562.R01.S.doc Version 5.2 Page 18 Environment The intended outcomes for Standards 24 – 30 are: 24. 25. 26. 27. 28. 29. 30. Service users live in a homely, comfortable and safe environment. Service users’ bedrooms suit their needs and lifestyles. Service users’ bedrooms promote their independence. Service users’ toilets and bathrooms provide sufficient privacy and meet their individual needs. Shared spaces complement and supplement service users’ individual rooms. Service users have the specialist equipment they require to maximise their independence. The home is clean and hygienic. The Commission considers Standards 24, and 30 the key standards to be inspected. JUDGEMENT – we looked at outcomes for the following standard(s): 24, 30 Quality in this outcome area is excellent This judgement has been made using available evidence including a visit to this service. Upland Close provides accommodation that meets the needs of people who use the service, and offers a spacious and comfortable home. The home is kept clean which ensures that good hygiene and infection control is maintained. EVIDENCE: A tour of the home was conducted with the help of one of the people living at Upland Road. Upland Road is a bungalow with a lounge, dining room, four bedrooms, one bathroom and toilet, a separate toilet, laundry, and fully fitted kitchen. The kitchen has a breakfast bar where people can sit and eat, and participate in kitchen tasks such as meal preparation. There is a small, fully enclosed garden. The home has been redecorated since the previous inspection and has been very nicely done. There is a relaxed atmosphere to the home. Upland Road, 2 DS0000066842.V329562.R01.S.doc Version 5.2 Page 19 The rooms of people who use the service are personalised and clearly show their interests and their independence. All rooms are clean, tidy and well presented. People who use the service have keys to their rooms, and duplicates are available should they be lost. Policies and procedures for infection control are in place and staff are provided with disposable gloves and aprons. Communal bathrooms have paper towels and liquid soap available. All cleaning materials are stored in locked cupboards in the laundry room. Staff were seen wearing appropriate protective wear for the task being completed. Upland Road, 2 DS0000066842.V329562.R01.S.doc Version 5.2 Page 20 Staffing The intended outcomes for Standards 31 – 36 are: 31. 32. 33. 34. 35. 36. Service users benefit from clarity of staff roles and responsibilities. Service users are supported by competent and qualified staff. Service users are supported by an effective staff team. Service users are supported and protected by the home’s recruitment policy and practices. Service users’ individual and joint needs are met by appropriately trained staff. Service users benefit from well supported and supervised staff. The Commission considers Standards 32, 34 and 35 the key standards to be inspected. JUDGEMENT – we looked at outcomes for the following standard(s): 32, 34, 35 Quality in this outcome area is good This judgement has been made using available evidence including a visit to this service. Staffing levels are being maintained and the staff team understand their responsibilities. Staff are well supported and work together to provide people who use the service with consistent and good quality care. Staff receive relevant training to help them meet the needs of people who use the service. The home’s recruitment policy and practices make sure that suitable staff are employed. All necessary checks are made to ensure the safety of everyone living at Upland Road. EVIDENCE: Upland Road has a committed and stable staff team. The home uses members of Dimensions bank staff when additional cover is needed. The staffing levels at the home are sufficient at the moment, but would need to increase when the current vacancy is filled. Upland Road, 2 DS0000066842.V329562.R01.S.doc Version 5.2 Page 21 The manager and deputy manager said that the change over to Dimensions (the new provider) has been relatively smooth, and that the people who use the service and the staff team have coped with this very well. Staff said that the recent Path training day was effective as a team building exercise. Dimensions provide regular staff training. Staff complete mandatory training such as health and safety, fire safety, first aid, food hygiene, moving and handling, infection control and vulnerable adults. Staff said that the training provided by Dimensions has been very good. Training records were seen. Staff training completed last year includes Our Approach, Epilepsy, Defensible Documentation and Eating and Drinking. Training courses planned for the coming year include updates for First Aid, health and Safety, and Moving and Handling. All staff are trained to administer medication. Members of staff will complete NVQ training. The change of provider has meant that their NVQ assessment centre has changed. Consideration is being given to those staff that have completed part of their NVQ training to determine their status on the course and what work is needed to complete their NVQ. Additionally two other staff are scheduled to commence NVQ level 3, and one person will commence NVQ level 4. All newly employed staff complete an Induction Course. The Induction process also includes new staff being supported by senior staff to familiarise themselves with the home, people who use the service and safety matters. Dimensions recruitment policy and procedures ensure that everyone completes an appropriate application form and that required references are obtained including one from their most recent employer. Appropriate criminal records and other checks are undertaken before their appointment is confirmed. All staff are required to work a probationary period at the home. Upland Road, 2 DS0000066842.V329562.R01.S.doc Version 5.2 Page 22 Conduct and Management of the Home The intended outcomes for Standards 37 – 43 are: 37. 38. 39. 40. 41. 42. 43. Service users benefit from a well run home. Service users benefit from the ethos, leadership and management approach of the home. Service users are confident their views underpin all self-monitoring, review and development by the home. Service users’ rights and best interests are safeguarded by the home’s policies and procedures. Service users’ rights and best interests are safeguarded by the home’s record keeping policies and procedures. The health, safety and welfare of service users are promoted and protected. Service users benefit from competent and accountable management of the service. The Commission considers Standards 37, 39, and 42 the key standards to be inspected. JUDGEMENT – we looked at outcomes for the following standard(s): 37, 39, 42 Quality in this outcome area is good This judgement has been made using available evidence including a visit to this service. The home is managed in an open and positive way. Dimensions monitor the home in various ways to ensure that the service continues to develop as people who use the service want and that the home remains a safe place to live and work in. EVIDENCE: The manager, Margaret Mole has recently been successful in her application as registered manager with CSCI. Margaret has managed the home for some eighteen months, having worked in the home for many years. Margaret has undertaken a range of relevant training courses that includes Our Approach (including quality outcomes), Autism, Person Centred Planning, Leadership and Upland Road, 2 DS0000066842.V329562.R01.S.doc Version 5.2 Page 23 Total Communication. Margaret is qualified to NVQ level III and will commence her Registered Managers Award in September 07. A part time deputy manager, who is a registered nurse and an NVQ assessor, supports Margaret. Management responsibilities include organising day-to-day activities, health and safety promotion, staff supervision and induction. Staff confirmed that the manager is approachable and supportive. Staff said they are able to talk to the manager at any time. In respect of management support from the provider, Dimensions has Training and Human Resource Officers who are available to advise and support the home. Service manager meetings are held monthly and the manager confirmed that she and the home are being supported. The provider’s monthly visits are one of the ways that Dimensions monitors the service and how the home is being run. These visits include interviews with staff and people who use the service. An audit of relevant aspects of the service, including records, environment, complaints received, finance and safety is completed. Any actions that may be needed to address shortfalls are specified. The resulting reports are also part of the home’s quality assurance and monitoring system and are intended to form an annual development plan for the service. This report will include views on the service from people who use the service, stakeholders and interested parties. Records show that monthly checks of the fire safety system and equipment, water temperature and storage, fridge, freezers and electrical appliances are completed. Staff are undertaking all mandatory health and safety training topics. Generic risk assessments are in place. Upland Road, 2 DS0000066842.V329562.R01.S.doc Version 5.2 Page 24 SCORING OF OUTCOMES This page summarises the assessment of the extent to which the National Minimum Standards for Care Homes for Adults 18-65 have been met and uses the following scale. The scale ranges from: 4 Standard Exceeded 2 Standard Almost Met (Commendable) (Minor Shortfalls) 3 Standard Met 1 Standard Not Met (No Shortfalls) (Major Shortfalls) “X” in the standard met box denotes standard not assessed on this occasion “N/A” in the standard met box denotes standard not applicable CHOICE OF HOME Standard No Score 1 3 2 3 3 X 4 3 5 X INDIVIDUAL NEEDS AND CHOICES Standard No 6 7 8 9 10 Score CONCERNS AND COMPLAINTS Standard No Score 22 3 23 3 ENVIRONMENT Standard No Score 24 4 25 X 26 X 27 X 28 X 29 X 30 4 STAFFING Standard No Score 31 X 32 3 33 X 34 3 35 3 36 X CONDUCT AND MANAGEMENT OF THE HOME Standard No 37 38 39 40 41 42 43 Score 4 4 X 3 X LIFESTYLES Standard No Score 11 X 12 3 13 3 14 X 15 3 16 3 17 3 PERSONAL AND HEALTHCARE SUPPORT Standard No 18 19 20 21 Score 4 3 3 X 3 X 3 X X 3 X Upland Road, 2 DS0000066842.V329562.R01.S.doc Version 5.2 Page 25 Are there any outstanding requirements from the last inspection? No STATUTORY REQUIREMENTS This section sets out the actions, which must be taken so that the registered person/s meets the Care Standards Act 2000, Care Homes Regulations 2001 and the National Minimum Standards. The Registered Provider(s) must comply with the given timescales. No. Standard Regulation Requirement Timescale for action RECOMMENDATIONS These recommendations relate to National Minimum Standards and are seen as good practice for the Registered Provider/s to consider carrying out. No. 1. 2. Refer to Standard YA19 YA19 Good Practice Recommendations The home is advised to make sure that all personal charts are fully completed at all times. There should be written guidelines in place to inform staff of action to take should there be any health concerns. Upland Road, 2 DS0000066842.V329562.R01.S.doc Version 5.2 Page 26 Commission for Social Care Inspection Worcester Local Office Commission for Social Care Inspection The Coach House John Comyn Drive Perdiswell Park, Droitwich Road Worcester WR3 7NW National Enquiry Line: Telephone: 0845 015 0120 or 0191 233 3323 Textphone: 0845 015 2255 or 0191 233 3588 Email: enquiries@csci.gsi.gov.uk Web: www.csci.org.uk © This report is copyright Commission for Social Care Inspection (CSCI) and may only be used in its entirety. Extracts may not be used or reproduced without the express permission of CSCI Upland Road, 2 DS0000066842.V329562.R01.S.doc Version 5.2 Page 27 - Please note that this information is included on www.bestcarehome.co.uk under license from the regulator. Re-publishing this information is in breach of the terms of use of that website. 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